Provider Demographics
NPI:1518754530
Name:CURTIS, GRACE KATHLYNNE
Entity type:Individual
Prefix:
First Name:GRACE
Middle Name:KATHLYNNE
Last Name:CURTIS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:GRACE
Other - Middle Name:
Other - Last Name:HANNON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:218 TOWNSHIP ROAD 1159
Mailing Address - Street 2:
Mailing Address - City:PROCTORVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45669-8579
Mailing Address - Country:US
Mailing Address - Phone:740-307-1267
Mailing Address - Fax:
Practice Address - Street 1:218 TOWNSHIP ROAD 1159
Practice Address - Street 2:
Practice Address - City:PROCTORVILLE
Practice Address - State:OH
Practice Address - Zip Code:45669-8579
Practice Address - Country:US
Practice Address - Phone:740-307-1267
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No172A00000XOther Service ProvidersDriver